Active NPIIndividual providerSole proprietor

Brian C Gamboa

Counselor, Mental Health in Assonet, Massachusetts

NPI Number1942510052
Practice location
3 Ashlawn RD, Assonet, MA 02702-1105
Fax
877-308-2202
Last updated
February 3, 2021

Brian C Gamboa is a Counselor, Mental Health based in Assonet, MA. Brian C Gamboa practices in Assonet, MA. The NPI Number for Brian C Gamboa is 1942510052. The current practice location address for Brian C Gamboa is 3 Ashlawn RD, Assonet, MA 02702-1105 and can be reached out via phone at 508-933-5205 and via fax at 877-308-2202.

Provider Profile Details

NPI Number
1942510052
Provider Name
Brian C Gamboa
Provider Entity Type
Individual
Gender
Male
Address
3 Ashlawn RD, Assonet, MA 02702-1105
Phone Number
508-933-5205
Fax Number
877-308-2202
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2010
Last Update Date
February 3, 2021
Certification Date
February 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Ashlawn RD
Assonet, MA 02702-1105
Zip
02702-1105
Phone Number
508-933-5205
Fax Number
877-308-2202
Assonet, MA 02702Get directions →

Provider Business Mailing Address Details

Address
3 Ashlawn RD
Assonet, MA 02702-1105
City
Assonet
State
MA
Zip
02702-1105
Phone Number
508-933-5205
Fax Number
877-308-2202

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Assonet, MA

View all Counselor, Mental Health providers in Assonet →

Frequently Asked Questions

What is the NPI number of Brian C Gamboa?

The NPI number of Brian C Gamboa is 1942510052. It was assigned on October 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Brian C Gamboa?

Brian C Gamboa is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Brian C Gamboa practice?

The practice location is 3 Ashlawn RD, Assonet, MA 02702-1105. The office can be reached at 508-933-5205 (phone) or 877-308-2202 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942510052 directly on the NPPES registry website.

Browse related providers